NURS250/334c VIRTUAL Nursing Clinical Rotation: Student to Nurse Report
Date: Click or tap to enter a date.
Student Name: Click or tap here to enter text.
Clinical Instructor: Click or tap here to enter
text.
Responsibilities for my shift (show RN):
☐ Full Head to toe assessment(s)
☐ Vital signs
☐ IV Assessments □ I/O charting
☐ All ADL’s (baths, oral care, incontinence care,
feeding, turning, ambulation)
☐ Daily weight
☐ Medications I can give:
Oral ☐ IV☐ IM☐ GT/NG/NJ ☐
☐ Hourly Rounds (5T’s-toilet, tolerance to pain,
turning, tidying, technology
alarms/pumps)
Charting/ Task List:
☐ Name on whiteboard
☐ Adult care summary-Flowsheets
☐ Vital signs
☐ IV assessment
☐ Neuro checks (if ordered)
☐ Patient positioning (if ordered)
End of Shift Report:
 Meds Given: PRN Click or tap here to
enter text.
 Pain reassessment: Click or tap here to
enter text.
 Diet, Time of last feed: Click or tap here to
enter text.
 I/O, Last Void: Click or tap here to enter
text.
 Activity (current status): Click or tap here to
enter text.
 Assessment Changes: Click or tap here to
enter text.
 Abnormal/red vital signs: Click or tap here
to enter text.
 Client/Family questions/requests: Click or
tap here to enter text.
Patient First Name: Click or tap here to enter
text.
Room # Click or tap here to enter text.
Age: Click or tap here to enter text.
Weight: Click or tap here to enter text.
Allergies: Click or tap here to enter text.
Diagnosis: Click or tap here to enter text.
History: Click or tap here to enter text.
Reason For admission: Click or tap here to
enter text.
or tap
here to enter text.
Skin/ Musculoskeletal:
Pain: Click
or tap
here to enter text.
IV: Click
or tap here
to enter text.
Cardiovascular:
Labs/ Tests/
Procedures: Click
Neuro: Click
Click or tap here to
enter text.
Respiratory: Click
or
tap here to enter
text.
GI/GU & Diet:
Click or tap here to
enter text.
Medications Due:
Click or tap here to
enter text.
Click or tap here to
enter text.
Psychosocial/ Family
Concerns: Click or
tap here to enter
text.
Plan of Care/
Education/Goal: Click
or tap here to enter
text.
I & O: Click
or tap
here to enter text.
Notes/Hourly Tasks: Click
enter text.
or
tap here to enter
text.
or tap here to